A patient presents with blood pressure of 180/110 mmHg (no other information). What should you do?

A single BP reading of 180/110 without symptoms is Stage 2 hypertension — the appropriate step is to WAIT and RECHECK (white coat hypertension is common). If it remains elevated, elective procedures should be deferred and the patient referred to their physician. 'Refer to ER' is for >180/120 with symptoms (hypertensive crisis). No pain meds without diagnosis.